MEDICARE: JEFFREY REMER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC01159	TX

General Provider Information

NPI Number	:	1003112087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY REMER

Provider Business Mailing Address
First Line	:	5578 ROCHESTER RD
Second Line	:
City	:	DRYDEN
State	:	MI
Zip	:	48428-9316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 BARCLAY CIR STE 140
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4587
Country	:	US
Telephone Number	:	586-943-7545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2011
Last Update Date	:	02/08/2011

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Directions to “ JEFFREY REMER ” Practice Location

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